Eastland Memorial Society

REGISTRATION

ABOUT US | PROJECTS | REGISTRATION | CONSTITUTION

If you have an interest in joining and supporting the Eastland Memorial Society, please provide the following information. Your information will remain strictly confidential. Currently there are no membership dues for becoming a member of the Society, but membership dues will become necessary as we grow to fulfill our goals. Whether you'd like to volunteer your assistance to a project, or just lend us your ideas and support, we'd like to have you join today as a charter member. Those people who are descendants of survivors, victims, rescuers, or other people connected with the actual disaster in some way are especially encouraged to join. But, we welcome anyone who just finds the memory of the disaster worth preserving. If you know of someone who is not on-line that could benefit or be of benefit to the Society, please register their referral information below. Thank you.

Please provide the following information:

Status: Member Mailing List Only

First name:

Middle name:

Last name:

Street address:

Address (cont.):

City:

State/Province:

Zip/Postal code:

Country:

Home Phone:

Work Phone:

E-mail:

Gender?: Male Female

What year were you born?:

Are you related to an Eastland participant?: Yes No

If yes, are you related to a:

Enter your Eastland interest and/or oral history in the space provided below.

Enter your own Eastland Memorial Society project suggestions and ideas.

Enter your committee(s) of interest. Read more about these committees here.
(to select more than one committee, hold down the Ctrl-key and click)

Do you know of anyone else who would like to become a member?
If so, please enter their contact information.

Status:	Member Mailing List Only
First name:
Middle name:
Last name:
Street address:
Address (cont.):
City:
State/Province:
Zip/Postal code:
Country:
Home Phone:
Work Phone:
E-mail:

Gender?:	Male Female
What year were you born?:
Are you related to an Eastland participant?:	Yes No
If yes, are you related to a: